Active NPI
Henry C Thomason Jr., M.D.
- Cardiovascular Disease Physician
- Gastonia, NC
National Provider Identifier
1164452512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 15594
- Practice address
- 1021 X Ray Dr
Gastonia, NC 28054-7489 - Phone
- (704) 867-2341
- Fax
- (704) 867-9019
- NPI assigned
- Jul 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 15594 | NC | Primary |
Addresses
Primary practice location
1021 X Ray Dr
Gastonia, NC 28054-7489
Mailing address
1021 X Ray Dr
Gastonia, NC 28054-7489
Phone (704) 867-2341
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| E16391 | Medicaid | SC | |
| 110125028 | Other | NC | RAILROAD MEDICARE |
| 82770 | Other | NC | BCBSNC PROVIDER # |
| 8982770 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15594 | NC | MD | Cardiovascular Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209600000000",
"number": "1164452512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1021 X RAY DR",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280547489",
"telephone_number": "704-867-2341",
"fax_number": "704-867-9019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1021 X RAY DR",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280547489",
"telephone_number": "704-867-2341",
"fax_number": "704-867-9019"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMASON",
"first_name": "HENRY",
"middle_name": "C",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-03",
"last_updated": "2008-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NC",
"license": "15594",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "E16391",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "110125028",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSNC PROVIDER #",
"identifier": "82770",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8982770",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gastonia, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.